|
Human Rights
Enforced Disappearances, Arbitrary
Executions and Cremations:
Victim Testimony and India's Human Rights Obligations
Interim Report
APPENDIX F:
The Committee for Coordination on Disappearances in Punjab
Chandigarh Secretariat: 742, Sector 8, Chandigarh. Tel.
544920
New Delhi Secretariat: 56 Todarmal road, (Bengali Market)
N Delhi. Tel. 3714531
A
Design for Incident Report Form
Name
of the disappeared/ dead person:
Caste:
Father's
name:
Mother's
name:
Address:
...............................................................................................................(top
sheet : to tear along the dotted line)
Name
of the disappeared/ dead person:
Alias,
if any:
Caste:
Father's
name:
Mother's
name:
Address:
Alias
if any:
Age
(Give date of birth if possible):
Educational
qualification:
Profession/
occupation:
Monthly
earning:
Other
sources of income:
Marital
status:
Name
of the spouse and the address:
Age:
Employed/
unemployed/ details:
Spouse's
parents:
Father's
name and age:
Mother's
name and age:
Profession/occupation:
Residence:
Children:
Names/age/sex:
Names
of other dependants within the joint family:
General
background of the disappeared/ dead person:
(Specially relevant would be details of hostile interaction
with the security forces since 1984.)
Date
and time of disappearance:
Location
of disappearance:
(Include as much detail as possible)
Circumstances
of disappearance:
(Short narrative statement with names of people responsible)
Are
there witnesses? Yes/No.
Details
of witnesses: Names/ addresses:
(Note: Specify if you do not wish to divulge the names of
witnesses for the present. In which case do not fill this
column.)
Perpetrator/s:
Name/s:
Age/
Physical description:
The
security agency to which the perpetrator/s belong:
Rank
Uniformed
or in plainclothes?
Description
of uniform/dress:
Attached
to which police station when the incident happened?
The
present posting:
Any
other details which you might want to add:
When
was the person last seen?
By whom?
Where?
Steps
taken to trace the "disappeared" and the results:
First
Information Report filed? Yes/No
If yes,
the number and the date:
The
name of the police station:
Name
of the officer who recorded the report:
Outcome,
if any:
Habeas
Corpus Petition filed? Yes/No
If yes,
the number, date, and the court:
Name
of the lawyer:
Address:
Telephone
No.
Outcome:
Appeals
made to local and national authorities. Give details. Photocopies
if possible:
Ourcome:
Is it
possible that the disappeared person may be alive? Yes/
No
Give
reasons why you believe this:
If believed
to be alive, name the location where the person might be
found:
Is it
assumed that the person has been killed and cremated? Yes/
No
If yes,
why you believe this:
Is it
assumed that the dead-body was disposed of in any other
manner? Yes/ No
If yes,
explain why you believe this:
Was
the incident reported in newspapers? Yes/No
If yes,
name the newspaper/s:
Date/s
on which the report appeared:
Was
there ever any report in the press about the disappeared/
dead prior to this incident? Yes/ No
Give
details:
Enclose
copies if possible.
Have you had any official or unofficial communications with
police officials concerning the fate of the person at any
time? Yes/No
If yes,
give details:
Has any other person known to you has also "disappeared"/
abducted/ reported killed in armed encounter in connection
with the reported incident? Yes/No
If yes,
give details:
Do you
know of the "disappearance" of any other person?
Has
any other member/s of your family "disappeared"?
Yes/No
If yes,
give details:
you
receive the dead body for performing the last rites? Yes/
No.
If yes,
from whom?
Was
any property (structures, possessions, live stock or other
chattel) damaged/ destroyed/ stolen/ expropriated in the
course of the incident or subsequently? Yes/ No
If yes,
give details:
Who
owned the property which was damaged/ destroyed/ stolen/
expropriated?
Who
damaged/ destroyed/ stole/ expropriated?
Names:
Agency
to which they belong:
Rank-designation:
Description
for identification:
Age:
Physical
description:
Describe the property:
1. Damaged:
Value:
2. Destroyed:
Value:
3. Stolen:
Value:
4. Expropriated:
Value:
Has
the event of "disappearance" had any psychological/medical
consequences in the family? Yes/No:
If yes,
give details:
Hospitalization/ Expenses:
Has
there been any death in the family connected/ subsequent
to the event of "disappearance"? Yes/No:
If yes,
give details:
Other
comments:
Signature
of the person giving details of the incident:
Name
in full:
Father's
name:
Mother's
name:
Relationship
to the missing/ killed/ cremated person:
Present
Address:
Date/Place
[BACK]
|
